Individual provider Active NPI

Keith Ernest Ozanne, DC

  • Chiropractor
  • Quakertown, PA
National Provider Identifier
1528135571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004665L Issued in PA
Practice address
1226 W Broad Street
Quakertown, PA 18951
Phone
(215) 536-2225
Fax
(215) 536-6516
NPI assigned
Nov 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004665L PA Primary

Addresses

Primary practice location

1226 W Broad Street
Quakertown, PA 18951

Mailing address

1226 W Broad Street
Quakertown, PA 18951
Phone (215) 536-2225

Other identifiers 7

IdentifierTypeStateIssuer
16135OtherPAHEALTH PARTNERS
P1581257OtherPAOXFORD
0775780000OtherPAKEYSTONE
1240450MedicaidPA
653901OtherPABCBS
0845855OtherPAUS HEALTHCARE AETNA
843189OtherPABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000640 PA Practitioner - Chiropractic 8325192941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1226 W Broad St
Quakertown, PA 18951-1230
Phone (215) 536-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004665LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Broad Street Chirporactic, Inc Chiropractor CurrentSince Jul 6, 2009 Accepting new patients

Locations

1226 W Broad St
Quakertown, PA 18951
Phone (215) 536-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528135571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 W BROAD STREET",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "18951",
            "telephone_number": "215-536-2225",
            "fax_number": "215-536-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W BROAD STREET",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "18951",
            "telephone_number": "215-536-2225",
            "fax_number": "215-536-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZANNE",
        "first_name": "KEITH",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004665L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "16135",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1581257",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0775780000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1240450",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "653901",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE AETNA",
            "identifier": "0845855",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "843189",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.